HomeMy WebLinkAbout1044 Grant Ave AN
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*9
Applicatsion Nunber
Application pin numbe!
Propertsy Addrees
ASSESSOR PARCE'- NUMBER :
ApplicaLion tsype deBcripEion
S\rbdivision Name . .
Property use
ProperEy zoning
Application valuation
21-00001191 Date 9 /21/2L
850982
1044 GRAI\I]T AVE A
o5-30-14-5-5-0212-0000-
EI,ECTRICAI, ONI,Y
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS9 RESDMTL SINGLE FA!,IILY
0
Application desc
ARLINE D SII{4ONS/W DAVID YAGER
305 NE 78TH AVE
PORTI.AND OR 9 7213(503) 201-8043
SIMPSON ELECTRlC
243036 W IMY 101
PORT ANGELES
1350) 457 -9210
wA 98363
PermiL
AddiLional desc
Permit Fee
Issue Date . ,
Expiration Date
120.00
9/2L/2L
3 /20 /22
EI]ECTRICAL AITER RESIDENTIAI
Plan check Pee
Valuation
00
0
QEy Unit Cbarge Per
1.00 120.0000 EcH El-0-200 sRV FEEDER
Extsension
120.00
charged Paid Credited
Permits Fee Total
Plan Check Total
Grand Total
120.00
.00
120.00
120.00
.00
120 . O0
.00
. o0
.00
00
00
00
REPORT SALES TN(
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INS
INSPECTION T\?E DATE RESULTS:INSPECTOR:
DITCH
SERVICE ?)zq/,OP 4
ROUGH-IN
FINAI
COMMENTS h<
Signature ofowner or Electrical Contractor X
G:\EXCHANGRBUILDINC
\
Date:
Due
I
I
ELECTRICAL PERM IT APPLICATION
Public Woiks and lltilities Dcpartnrent
321 E. stlr Streel. Polt i\ngr:les, !V,{ 981(12
160.117.4?35 lu,'o'rv.citvofpu.us lelectricirlltcrrnitstTr,cityolpa.us
1044 E Grant Ave PodAngeles jL
l,
(D
3.
+
\
I
-s
Project Address
Prolect Description
Change Service and Meter
Name John Yeaqer Email:
Mailing Address Phone:503-201-8043
ELECTRICAL CONTRACTOR INFORMATION
Simpson Electric LLC l_i6965s; SlMPSEL973RO12
Exp iration Date: 1211112021
Phone: 360-457-9270
Mailing Address: P.O. Box 1086 Port Anqeles, WA 98362
Email: dlsimpsons'l@gmail.com
It6m
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Servlce/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Anrp.
Portallo Portal Hourly
Signal Circuiulimited Energy - 'l&2 DU.
Manuiactured Home Connection
RenewabLe Elec. Energy: sKVA System or less
Thermostat (Note: 55 for each additional)
FiIst 1300 Square Feet
Eacft Addltlonal 5OO square fqd"
Each Outbuilding / Detacfied Garaga
Each Swimming Pool.l Hot Tub
Unit Charoe
$120.00
$146.00
$205.00
s262.00
$373.00
$5.00
$63.00
$5,00
$75.00
$9s.00
s110.00
$149.00
$168.00
$96.00
$&.oo
$120.00
$102.00
$56.00
t12G00
04eort.
$?4.ii{r'- "
ti10.00
Ouantity Iqlel (Quantity x Unlt Charge]
120.00$
$
$
$
$
$
$
s
$
$
$
$
$
$
$
s
$
s
st
0
$
gTOTAL 120.00
Owner as defined by RCw.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six monlhs of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC '14.05.050 regarding Electricat Permit Applications.
9117 t2021 Andrew P Simpson
Print Name Signature ([ Owner I Electrical ractor / Administrator)Date
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
1-2
1 - 2 SINGLE-FAMILY
d Single-Famity Residential E Duplex /ARU Building Square footage:
----OWNER INFORMATION
Name:
PROJECT.DETAILS